SearchIllinois225X00000X

Sir George Washington, OT

NPI 1215109558 · on the registry since 2008 · sole proprietor

Practice

Address
3309 Cumberland Trl
Olympia Fields, IL 60461
Phone
(708) 359-2670
Fax
(708) 274-1979
Organisation at this address
Supplemental Therapy Services Inc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
225X00000X
225X00000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2014-05-23

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois